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Organization

JUDY A MACY MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUDY A MACY MD (PRESIDENT)
(734) 457-0455
Entity
Organization

Contact information

Practice address
167 COLE RD, MONROE, MI 48162-4106
(734) 457-0455
(734) 457-0695
Mailing address
167 COLE RD, MONROE, MI 48162-4106
(734) 457-0455
(734) 457-0695

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301407155
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102649578
MI
Enumeration date
08/27/2012
Last updated
08/27/2012
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